FORM 1023-EZ for THE MALMBERG FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-4012770 |
| Case Number | EO-2020029-000313 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE MALMBERG FOUNDATION |
| Organization’s Mailing Address | 1411 S 10TH ST |
| City | COUNCIL BLUFFS |
| State | IA |
| ZIP | 51501 |
| Accounting period End | 12 |
| Primary contact name | MATTHEW MALMBERG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MATTHEW MALMBERG
PRES/TREAS/SEC/CHAIR OF BRD
1411 S 10TH ST
COUNCIL BLUFFS IA 51501
Officer/Director/Trustee Two
JOE DISALVO
DIRECTOR/BOARD MEMBER
208 KESTREL CT
COUNCIL BLUFFS NE 51501
Officer/Director/Trustee Three
AUSTIN SABALIAUSKAS
DIRECTOR/BOARD MEMBER
2543 N 196TH PLAZA 31
ELKHORN NE 68022
| Organization’s website | |
|---|---|
| Organization’s email | MALMBERGFOUNDATION@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/13/2019 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E80 - Health, General and Financing |
| Organization’s purpose | Charitable: Yes Religious: No Educational: No Scientific: No Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | No |
| Compensation of Officer director trustee | No |
| Donation of funds | Yes |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | No |
| Unrelated Gross Income $1,000 or More | No |
| Gaming Activity | No |
| Disaster relief assistance | No |
| One Third Support Public | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | MATTHEW MALMBERG |
| Signature Title | PRES/TREAS/SEC/CHAIR OF BRD |
| Signature Date | 1/27/2020 |
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